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MULT:一个新的BMI参考来评估多民族儿童和青少年的营养状况
Mariane Helen de Oliveira1, Joana Araújo2,3,4, Milton Severo2,3,5
1Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
概括
使用纵向数据开发了一个新的多民族体重指数 (BMI) 参考值,MULT. 该参考文献为评估不同人群的营养状况提供了有价值的工具.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 营养科学 营养科学
- 生物统计学 生物统计学
背景情况:
- 准确的体重指数 (BMI) 参考值对于评估儿童和青少年生长和营养状况至关重要.
- 现有的国际BMI参考标准可能不能充分代表多元多民族的人口.
- 需要根据最近的,纵向的,多民族数据更新的BMI参考.
研究的目的:
- 开发一种新的身体质量指数 (BMI) 参考,称为MULT,利用来自多民族人口的纵向数据.
- 为了将开发的MULT BMI参考与已建立的国际BMI参考进行比较.
- 为了在MULT参考范围内确定超重和肥胖的百分点截止值.
主要方法:
- 使用LMS方法和位置尺度和形状 (GAMLSS) 的通用添加模型构建了MULT BMI参考.
- 数据包括来自10个国家的0-22岁17505名受试者的81,310个观察结果.
- 异常值的检测和删除在人口和个人层面上使用z-score和混合效应模型进行.
主要成果:
- 与其他参考标准相比,MULT参考标准在男孩和女孩的特定年龄段显示了最低的BMI平均值.
- MULT的S曲线与婴儿的WHO和IOTF相似,并在青春期达到最高水平.
- 与其他国际BMI参考相比,MULT参考的L曲线表现出更大的对称性.
结论:
- 由10个国家的近期多民族数据得出的MULT BMI参考,为营养状况评估提供了一个强大的工具.
- 它为评估不同儿科和青少年群体的身体质量指数提供了更具代表性的标准.
- 参考MULT有助于确定与多民族群体相关的超重和肥胖值.
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